Intratympanic Steroid Injection for Bell’s palsy: Preliminary Randomized Controlled Study
- Title
- Intratympanic Steroid Injection for Bell’s palsy: Preliminary Randomized Controlled Study
- Author
- 정재호
- Keywords
- Bell's palsy; Facial nerve; Idiopathic facial nerve paralysis; Injection; Steroid
- Issue Date
- 2014-10
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS, 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA
- Citation
- Otology & Neurotology, v.35 no.9,2014년, pp.1673 - 1678
- Abstract
- OBJECTIVE: To investigate adjuvant effect and safety of intratympanic steroid for the treatment of Bell’s palsy. STUDY DESIGN: Prospective, investigator blinded, randomized study. SETTING: Tertiary referral center. PATIENTS: Patients who received treatment for Bell’s palsy from December 2007 to March 2011 were randomly divided into two groups. The control group (n = 17) was treated with systemic steroid plus antiviral agent, and intratympanic steroid injection group (IT group, n = 14) received intratympanic steroid injection combined with medications. Facial functions were evaluated on a regular basis up to 6 months. INTERVENTION: Intratympanic steroid injection. MAIN OUTCOME MEASURES: Facial nerve functions of initial presentation and follow-up were evaluated with House-Brackmann (H-B) system. Primary outcome was complete recovery rate of 6 months. Secondary outcomes included improvement of H-B grade within 3 weeks, time of first improvement in facial function, and cumulative recovery rate. In addition, subgroup analysis of H-B grade over than IV was performed. RESULTS: Complete recovery rate was not different between groups. Time of first improvement was shorter in IT group (p = 0.043). And IT group had a better cumulative recovery rate (p = 0.041) and showed the significant improvement in H-B grade within 3 weeks compared with control group (p = 0.045). In severe facial palsy, complete recovery rate of IT group and control group were 80% and 50% (p = 0.16), and IT groups showed the significant facial improvement within 3 weeks (p = 0.025). And there were no major adverse effects of intratympanic injection. CONCLUSION: Intratympanic steroid injection might be a safe and useful adjuvant treatment modality for Bell’s palsy.
- URI
- https://insights.ovid.com/crossref?an=00129492-201410000-00035https://repository.hanyang.ac.kr/handle/20.500.11754/73361
- ISSN
- 1531-7129
- DOI
- 10.1097/MAO.0000000000000505
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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